You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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FAA-1366A | Eligibility Requirements | 05/01/2023 |
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FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
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GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
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FAA-1494A | Authorized Representative Removal | 05/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
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LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
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DDD-0223A-S | Residential Pre-Move Checklist (Spanish) | 04/01/2023 |
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EAP-1007A-S | Declaración del Solicitante de No Tener Ingresos | 04/01/2023 |
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DDD-1673A | Agency with Choice (AWC) Provider Training Request (English) | 04/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DDD-1530A-SLP | Managed Risk Agreement Services and/or Placement -Large Print (Spanish) | 03/01/2021 |
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DDD-2090A | Program Integrity Requirements Verification | 03/01/2021 |
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ESA-1338A | Language Line Translation Services Utilized | 03/01/2021 |
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RSA-1298A | Referral Form (English) | 02/01/2021 |
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RSA-1298A-LP | Referral Form - Large Print (English) | 02/01/2021 |
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LCR-1087A | Child Developmental Certified Home Application Cover Page | 02/01/2021 |
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DDD-2087A | Documentation Guidelines: Occupational, Physical, and Speech-Language Pathology Therapy Services | 02/01/2021 |
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UB-010 | Eligibility Review Questionnaire (English) | 02/01/2021 |
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FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
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UB-010-S | Eligibility Review Questionnaire (Spanish) | 02/01/2021 |
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